Department of Gynecology and Obstetrics, Erlangen University Hospital, Friedrich Alexander University of Erlangen-Nuremberg, Erlangen, Germany.
Department of Pathology, Medical School, Klinikum Nuremberg, Paracelsus University, Nuremberg, Germany.
In Vivo. 2024 May-Jun;38(3):1292-1299. doi: 10.21873/invivo.13568.
BACKGROUND/AIM: The Word catheter is a silicone device with a balloon system that may be inserted into a Bartholin's cyst or abscess in order to provide drainage and epithelization. The aim of this study was to evaluate the Word catheter as a therapy for Bartholin's cyst and abscess. Both patient and physician satisfaction, as well as the feasibility in an outpatient setting, were examined.
A total of 51 women with a Bartholin's cyst or abscess were given the option of Word catheter insertion in an outpatient setting between August 2013 and March 2018. Both the patients and the consulting physicians were asked to complete two questionnaires, before, during and after treatment, with a view to evaluating the overall pain level, any discomfort symptoms and sexual activity, as well as satisfaction levels.
The insertion procedure seemed to constitute a short yet quite painful procedure. In most cases, the consulting physicians and the patients were content with the results. Nevertheless, dislodgement of the catheter or abscess recurrence were common. The removal of the Word catheter seemed to be short, painless, and uncomplicated. Most patients experienced pain and discomfort after catheter placement over the first days, with the symptoms fading over time. Sexual intercourse appeared to be negatively influenced.
The Word catheter was frequently well tolerated for the treatment of Bartholin's cysts and abscesses, with few non-serious side-effects, however, it did interfere with sexual health. Nonetheless, it may not be possible to make general recommendations based on this exploratory study.
背景/目的：Word 导管是一种带有气囊系统的硅胶装置，可插入巴氏腺囊肿或脓肿中以提供引流和上皮化。本研究旨在评估 Word 导管作为巴氏腺囊肿和脓肿的治疗方法。检查了患者和医生的满意度以及在门诊环境中的可行性。
2013 年 8 月至 2018 年 3 月期间，共有 51 名患有巴氏腺囊肿或脓肿的女性选择在门诊进行 Word 导管插入术。在治疗前、治疗中和治疗后，要求患者和咨询医生填写两份问卷，以评估总体疼痛程度、任何不适症状和性行为以及满意度。
插入过程似乎是一个短暂但非常痛苦的过程。在大多数情况下，咨询医生和患者对结果都感到满意。然而，导管移位或脓肿复发很常见。Word 导管的取出似乎很短，无痛且不复杂。大多数患者在导管放置后的头几天会感到疼痛和不适，随着时间的推移症状会逐渐减轻。性行为似乎受到负面影响。
Word 导管常用于治疗巴氏腺囊肿和脓肿，耐受性良好，副作用少，但会影响性健康。然而，基于这项探索性研究，不可能做出一般性建议。
